Private Practice
Private Practice is an In Home Supportive Care Agency in Fredericktown, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2014.
- Licensed in
- PA
- In the registry since
- 2014
Practice location Address checks out
202 Fishpot RdFredericktown, PA 15333-2203
Phone: (724) 322-7745
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| In Home Supportive Care Agency (primary) | Taxonomy 253Z00000X · Licence RN320432L (PA) |
|---|
Record details
| NPI number | 1093122954 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Kelly McConnell — Rn · (724) 322-7745 |
| NPI enumerated | July 11, 2014 |
| Last updated in NPPES | July 11, 2014 |
| Mailing address | 202 Fishpot Rd, Fredericktown, PA 15333-2203 |